Each participant should complete the Registration and Accommodation Forms and return it to the contact Mr. Konata Lee at ombudsman@antigua.gov.ag or Tel: (1 268) 562-5499 or (1 268) 462-9364.

Please note that fields marked with an * must be filled out before your form can be processed.



Registration Form
 (to be completed be each conference participant)

Participant Details
Jurisdiction: *    
Title: * Name: *
Gender: * Organisation: *
Post: * Address: *
City: * Province: *
Country: * Postal Code: *
Office No.: * Fax: *
Email: *    
Special dietary requirements (if any) Other special requirements (if any)


Flight Information
  Arrival Departure
Date: *
Time: *
Flight No.: *


Other Delegates Accompanying Persons*
Name Title Gender Arrival Date
and Flight No.		 Departure Date
and Flight No.






Accomodation Booking Form
 (to be completed be each conference participant)


Details
Title: *      
Last Name: *   First Name: *
Arrival Date: *   Departure Date: *
Flight No.(arrival):   Flight No. (departure):
Contact No.: *   Fax: *
Email: *      


Hotel Rooms and Rates *
Room Type Rate Accomodation Desired
All inclusive Ocean view (single)
$120
All inclusive Ocean view (double)
$166
Ocean view with breakfast (single)
$114
Ocean view with breakfast (double)
$131
All inclusive Mountain view (single)
$101
All inclusive Mountain view (double)
$142
Mountain view with breakfast (single)
$ 94
Mountain view with breakfast (double)
$111
** All prices are quoted in US dollars and are inclusive of 10% government tax and 8.5% service charge.

Room – Nights required   Specify the period from  
Smoking Option:   to  
Breakfast for  persons   Bed Type:
All payments to be settled with the hotel upon departure


Credit Card Information
All bookings must be guaranteed by credit card details upon confirmation, otherwise the hotel reserves the right to release the room without prior notice.
Credit Card Number: *   Credit Card Type: *
Name on Credit Card: *   Expiry Date: *




Hotel Information
Grand Royal Antiguan Beach Resort 
Address: P.O. Box 976,
St. John’s,
Antigua
West Indies
Tel: 268-462-3733
Fax: 268-462-3732
Email: event@grandroyalantiguan.com







Copyright 2005 - Government of Antigua and Barbuda